Provider Demographics
NPI:1386905016
Name:FALCK NORTHERN CALIFORNIA CORP.
Entity type:Organization
Organization Name:FALCK NORTHERN CALIFORNIA CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF LEGAL COUNSEL
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-478-8318
Mailing Address - Street 1:28333 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4428
Mailing Address - Country:US
Mailing Address - Phone:844-622-3926
Mailing Address - Fax:
Practice Address - Street 1:28333 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4428
Practice Address - Country:US
Practice Address - Phone:844-622-3926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-29
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386905016Medicaid